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Iowa rates for HCPCS A4364

Adhesive, liquid or equal, any type, per oz

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.36 / $3.44 / $10.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $4.88 / $6.09
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.49 / $4.51 / $7.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.80 / $4.36 / $5.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $2.62 / $10.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $4.51 / $5.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $4.70 / $6.74
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.10 / $6.20 / $8.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $2.04 / $3.52
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.70 / $3.70 / $3.70
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $3.70 / $3.70